Rather than repress the anxiogenic (anxiety-inducing) content, mentally ill people deal with it in the following dysfunctional ways:
1. Dissociation 2. Conflate external with internal objects (hypereflexivity) 3. Reframe reality (impair reality testing) 4. Attempt to cope with anxiety via reciprocal inhibition (Wolpe) that devolves into obsession (or obsessional neurosis). 5. Externalization: aggression (sharing the anxiety)
DISSOCIATION The example of BPD CONFLATION The examples of narcissism, psychosis IMPAIRMENT The example of paranoia OBSESSION The example of the obsessive-compulsive EXTERNALIZING The example of the psychopath
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